BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CODMAN SURGICAL PATTIE

    MDR report key: 1040070 · Received May 7, 2008

    Report

    Report Number
    1226348-2008-00116
    Event Type
    Injury
    Date Received
    May 7, 2008
    Date of Event
    April 8, 2008
    Manufacturer
    CODMAN & SHURTLEFF, INC.
    Product Code
    HBA
    PMA / PMN Number
    K880402
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TW
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    UPON COMPLETION OF THE INVESTIGATION, A FOLLOW UP REPORT WILL BE FILED.

    Description of Event or Problem · 1

    AFFILIATE EXPLAINED THAT THERE SHOULD BE 10 PIECES WITHIN A PACK, BUT THERE ARE 11 PIECES WITHIN THE PACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN SURGICAL PATTIE PADDIE, COTTONOID HBA CODMAN & SHURTLEFF, INC. NA LZ417

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK